Regional Referral Coordination Specialist

Well Care Health; Bermuda Run (NC); On-site; USD 42,000 - 62,000; Full time

Job summary

Well Care Health is seeking a Sales Support Specialist to manage regional referral portals and coordination. You will monitor referrals, apply criteria for acceptance, and ensure timely handoffs and documentation across branches.

Collaboration with Account Executives, Clinical Intake, and branch leadership is essential to sustain care quality and compliance. The role emphasizes timely SOC/ROC validation, accurate documentation, and consistent performance, with a focus on HIPAA compliance and

Qualifications

• High School Diploma or equivalent required.
• Not required: Licensure/certification.
• Two years of computer experience; healthcare experience preferred.
• Proficient with Microsoft Office/Teams and healthcare technology.

Responsibilities

• Monitor assigned referral portals and review incoming referrals for designated branches or regions.
• Apply standardized clinical, capacity, payer, service-area, and operational criteria to accept, decline, or escalate referrals within 15 minutes of receipt.
• Retrieve, review, and validate SOC and ROC referral packets with demographics, insurance, physician, orders, and face-to-face documentation.
• Upload SOC and ROC packets to the Mosai platform and designated channels; tag Clinical Manager for ROC referrals.
• Track referral disposition and missing documentation through completion; escalate unresolved issues.
• Support referral coordination across Home Health and Hospice and maintain confidentiality per HIPAA policies.

Skills

Customer service

Communication

Problem-solving

Team collaboration

Attention to detail

Education

High School Diploma

Tools

Microsoft Office

Microsoft Teams

Electronic Medical Records

Referral Portals

Job description

Well Care Health is seeking a Sales Support Specialist to manage regional referral portals and coordination. You will monitor referrals, apply criteria for acceptance, and ensure timely handoffs and documentation across branches.

Collaboration with Account Executives, Clinical Intake, and branch leadership is essential to sustain care quality and compliance. The role emphasizes timely SOC/ROC validation, accurate documentation, and consistent performance, with a focus on HIPAA compliance and